SELECT OR ENTER
NPI 1811586134
Dermatology in Roseville, CA

Active since January 12, 2021
1412 BLUE OAKS BLVD, ROSEVILLE, CA 95747(916) 784-7546(916) 784-7548 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Jan 12, 2021 (2 updates tracked since 2021).

About Select Or Enter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELECT OR ENTER (NPI 1811586134) is a healthcare organization registered as a dermatology in Roseville, California and active in the NPI registry since January 2021. The organization lists Jennifer T Haley, Authorized Group Official, as its authorized official.

NPPES Registry Identity

NPI1811586134
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINTEGRATED DERMATOLOGY OF ROSEVILLE, PC
Location Address1412 BLUE OAKS BLVDRoseville, CA 95747-7143
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000
Fax(916) 784-7548
Organization SubpartNo
Authorized OfficialJennifer T HaleyAuthorized Group Official · (561) 314-2000
Enumeration DateJanuary 12, 2021
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
NPI 1811586134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1412 BLUE OAKS BLVD, Roseville, CA 95747

Other Names 1

Other NameSelect Or Enter

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D1053761

Integrated Dermatology Of Roseville · Roseville, CA
Expired · Jul 31, 2026
CLIA Number05D1053761
Laboratory TypePhysician Office
Certificate Effective DateJune 2, 2023
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorBabu Singh
Laboratory Phone(916) 784-7546
Laboratory LocationIntegrated Dermatology Of Roseville1414 Blue Oaks Rd, Roseville, CA 95747
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747
Dermatology
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747
Physician Assistant
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747
Dermatology
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747
Nurse Practitioner
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747
Physician Assistant
1412 BLUE OAKS BLVD
ROSEVILLE, CA 95747

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Dermatology Of Roseville, PC's NPI number?

The NPI number for Integrated Dermatology Of Roseville, PC is 1811586134. It was assigned to this organization in the NPPES registry on January 12, 2021. The provider is also known as Select Or Enter.

Where is Integrated Dermatology Of Roseville, PC located?

Integrated Dermatology Of Roseville, PC is located at 1412 Blue Oaks Blvd, Roseville, CA 95747. The listed phone number is (916) 784-7546.

What is Integrated Dermatology Of Roseville, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Integrated Dermatology Of Roseville, PC was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.